FORM 1023-EZ for NORTHWEST NOGGIN

Field Data
EIN 81-3885713
Case Number EO-2016315-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST NOGGIN
Organization’s Mailing Address 4832 NE CLEVELAND AVENUE
City PORTLAND
State OR
ZIP 97211
Accounting period End 12
Primary contact name JAMES N SAUL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM GRIESAR
TREASURER
4832 NE CLEVELAND AVENUE
PORTLAND OR 97211

Officer/Director/Trustee Two

JEFF LEAKE
PRESIDENT
3953 NE 15TH AVENUE
PORTLAND OR 97212

Officer/Director/Trustee Three

KENDRA CRICK
SECRETARY
3936 NE 14TH AVENUE
PORTLAND OR 97212

Officer/Director/Trustee Four

JOHN HARKNESS
VICE PRESIDENT
4410 SW APPLETREE LANE
BEAVERTON OR 97007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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